Akinduro Oluwanifemi G, Jacobs Adam P, Gunn Andrew J
Heersink School of Medicine at the University of Alabama at Birmingham, Birmingham, Alabama.
Department of Radiology, Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama.
Semin Intervent Radiol. 2025 Jan 8;42(1):66-70. doi: 10.1055/s-0044-1801331. eCollection 2025 Feb.
Percutaneous cecostomy catheters can be placed in the setting of either fecal incontinence or large bowel obstruction. While there are several etiologies for these disorders, the purpose of the cecostomy catheter is to provide ease of access for antegrade enemas in patients with fecal incontinence or relieve pain and discomfort in patients with a large bowel obstruction. Image-guided, percutaneous catheter placement into the cecum fits easily into the skillset of the interventional radiologist. Even though the literature consists of mostly single-center, retrospective case series, the procedure shows high rates of technical success, outstanding clinical outcomes, excellent patient satisfaction scores, and low rates of major adverse events. The purpose of this article is to review indications for cecostomy catheter placement, outline preprocedural patient evaluation, describe intraprocedural steps of catheter placement, detail postprocedural follow-up, and review both technical and clinical outcomes of cecostomy catheter placement.
经皮盲肠造口导管可在大便失禁或大肠梗阻的情况下放置。虽然这些病症有多种病因，但盲肠造口导管的目的是为大便失禁患者进行顺行灌肠提供便利，或缓解大肠梗阻患者的疼痛和不适。在影像引导下，经皮将导管置入盲肠很容易纳入介入放射科医生的技能范围。尽管文献大多是单中心回顾性病例系列，但该操作显示出较高的技术成功率、出色的临床结果、极高的患者满意度评分以及较低的严重不良事件发生率。本文的目的是回顾盲肠造口导管置入的适应证，概述术前患者评估，描述导管置入的术中步骤，详述术后随访，并回顾盲肠造口导管置入的技术和临床结果。
